News Briefs: CMS Moves to Limit Continuous Medicaid Eligibility Waivers

Jul 17
Jul 17, 2025

CMS on July 17 issued guidance to states that details how it will be moving away from Medicaid demonstrations focused on continuous eligibility and workforce initiatives. Specifically, the agency said it doesn’t plan to approve new or extend existing section 1115 demonstration authorities that have allowed some people to remain enrolled in Medicaid or the Children’s Health Insurance Program “for extended periods of time, even if they may not have otherwise been eligible.”

Additionally, CMS said it doesn’t anticipate approving new or extending existing programs that use Medicaid dollars to fund certain job training or employment-related activities. CMS said the announcement “reflects a recalibrated approach that reinforces statutory boundaries, enhances oversight, and helps ensure taxpayer-funded benefits go only to those who meet eligibility requirements.”
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Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.